| Grace Counseling Center | |
|
209 San Carlos Ave Ste 111a Sanford FL 32771-1412 | |
| (407) 431-7866 | |
| Not Available |
| Full Name | Grace Counseling Center |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 209 San Carlos Ave Ste 111a, Sanford, Florida |
| Authorized Official Name and Position | Tanesha T Burns (MENTAL HEALTH COUNSELOR) |
| Authorized Official Contact | 4074317866 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Grace Counseling Center 209 San Carlos Ave Ste 111a Sanford FL 32771-1412 Ph: (407) 431-7866 | Grace Counseling Center 209 San Carlos Ave Ste 111a Sanford FL 32771-1412 Ph: (407) 431-7866 |
| NPI Number | 1003322264 |
|---|---|
| Provider Enumeration Date | 12/22/2017 |
| Last Update Date | 12/22/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003322264 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | MH15463 (Florida) | Primary |
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